End of Life care

Question 1

What is end-of-life care?

Answer 1

-given in last year of life
-providing treatment/advice/support
-planning for patient’s death/ helping them to die with dignity

Question 2

What is palliative care?

Answer 2

symptomatic management of an incurable disease
-some treatments can be aimed at pro-longing life with the disease

Question 3

Famous example of end-of-life care?

Answer 3

liverpool pathway of care

Question 4

What consideration needs to be taken on when deciding to resuscitate or not?

Answer 4

if they have a DO NOT RESUSCITATE form
(discussing this could cause distress )

Question 5

What is the rule of discussing with patients about DNR forms?

Answer 5

can discuss
but patients cannot demand it if doctor does not think so

Question 6

Should people with terminal illnesses have a DNAR?
(Pro DNAR)

Answer 6

A: requires medical knowledge and should be doctor’s decision
B/N: would otherwise just be prolonging their suffering
would just be better to let them pass away from natural causes
J: frees up resources for other patients who do not need DNAR
C(consent/capacity): if patient is confused, not have capacity to consent to DNAR, so doctor can put it in place

Question 7

What does DNAR stand for?

Answer 7

do not attempt resuscitation

Question 8

Should people with terminal illnesses have a DNAR?
(Against DNAR)

Answer 8

A: patient should ultimately decide (DNAR does not respect their autonomy)
B/N: not making an attempt, not trying to save the life
C/C:patients should be involved when they have capacity

Question 9

What is the conclusion like for DNAR question?